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HomeMy WebLinkAboutSump Pump Inspection~ 4F PRt p~ ~L ~' r~~ U ~ City of Prior Lake Sump Pump and I/I Reduction Insuection Form Name: ~~~~~'~ /' 1 1" ~'~ Address: ~7~ ~ ~~'qC'~"~ ~~'" Prior Lake, MN 5~ ~~ Phone`~`~-'~ '~~~Z' Date~ ~j~'~.~Time~~'~~m./p.m. First Inspection ~cond ~ Own: Q Rent: ~ Age of Home: Residential: ~ Non-Residential: L7 A. BASEMENT Q Yes C~~C"o / SiJMP BASKET 'E~~~0 1 I~ 2~ 3 ~ WATER IN BASKET ~ Yes ~'No SiJMP P~~ " t0'"0 ~ 1 ~ 2 O 3.~ WATER IN BASEMENT (flow over floor) ~ Yes Ck'1Qo CISTERN ~ Yes ~ (If no pump, place sticker across edge of sump_ cover and basement floor so any removal of cover will break seal. Skip to Part B of this form.) Discharge Point at Inspection: Q Laundry tub L7 Sanitary sewer._. L7 Outside O Floor drain ~ Other Prior to Inspection: When was system installed, or most recently modified? (Date) ~ Home came with system Q Response to inspection program ~ Other ~ Water in basement Q Previous syste ailed ~~~~ B. ROOF LEADERS: C. YARD DRAINS BEAVER SYSTEM / and why Q Yes o DISCHARGE: Q Near ~ Away Q Yes L~'1Vo WINDOW WELLS ~ Yes ~'No ~ Yes ~7~1~0 D. PROPERTIES WITH SUMP PUMPS When does pump run? ~ Fall ~ Summer (check all that apply) How often does pump run? V~here does pump discharge to outside? a Front NOTES: . .~,Gi~Gt~G...-•---~~AC L. -- -•-•-•----- ~ Spring Q Winter ~ Back ~I Side SUMP PUMP SYSTEM: l~~ ,~~ ~ FAIL You have 30 days to bring your system into compliance with current regulations. When you are ready for reinspection, call 651/644-1469 for an ap ent. Is there another place where clear water enters the sanitary sewer system? ~ Yes ~~!~ Where is this location? This area will need to be e clear w~r ~scharges to the stornri sewer system. Inspector: " "'- Date: ~O~ Resident: .~ Date: 3- ~' Disclaimer: This visual inspection is done with due diligence to find obvious clear water cross-connections and does not imply the structure meets all City Codes. White: Homeowner Yellow: City Pink: HRG